Provider Demographics
NPI:1750985289
Name:CARPENTER, ANNA (PHARMD, RPH)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:
Last Name:CARPENTER
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11415 MARCY RD
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-9758
Mailing Address - Country:US
Mailing Address - Phone:614-519-6443
Mailing Address - Fax:
Practice Address - Street 1:3506 GENDER RD
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-8007
Practice Address - Country:US
Practice Address - Phone:614-837-5588
Practice Address - Fax:614-837-3634
Is Sole Proprietor?:No
Enumeration Date:2020-11-25
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03330885183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist